The Brief

For customers using a telehealth website to get cheaper versions of popular obesity drugs, the low prices turned out to be too good to be true.

Customers of Zappy Health tell NPR they were drawn to the online provider by its low prices, its lack of subscription fees and its handy smartphone app with a chat feature for patients to talk to one another during their weight-loss journeys.

The Zappy chat was ultimately how many customers first learned that Ousia Pharmacy — one of several pharmacies that supplied Zappy with compounded obesity drugs — didn't have a required license, one that ensured the drugs were produced in accordance with safety and potency standards.

Compounded drugs that Zappy and other telehealth sites sell aren't generics. Instead, they're essentially copies of the name-brand drugs, made by specialized pharmacies. The Food and Drug Administration allows this kind of compounding during drug shortages.

Compounding pharmacies are regulated at the state level. Ousia, in Spring Hill, Fla., didn't have what's called a sterile compounding license. The obesity drugs made by compounding pharmacies are given by injection, so attention to sterile production is critical to avoid contamination that could cause infections.

Zappy didn't find out about Ousia's licensing problem until December and it ceased its roughly three-month relationship with the pharmacy on Dec. 13, Zappy's founder, Dr. Michel Choueiri, told NPR in an email after a broadcast version of this story aired. He called Zappy "the biggest victims of this situation" and said that it has left the company in "severe financial and reputational ruin."

Some Zappy customers NPR spoke with found out about the problem on Reddit.

Laura Franzese, in Portland, Ore., learned about the licensing problem after spending $1,000 on a bulk order of tirzepatide from Zappy that arrived with Ousia labels. (Tirzepatide is the active ingredient in Eli Lilly's obesity drug Zepbound.) She'd been taking the drugs already, from a local provider, and called them "life-changing," but made the switch to Zappy hoping to save money.

"I bought three months' worth of medicine from this company," she says. Now she's afraid to use the drugs. "It was a big investment."

People active on Reddit told NPR that Zappy deleted the original user post in its app chat forum about Ousia's lack of the proper license. Choueiri says Zappy publicly apologized in the same forum and removed the post only while it was verifying the claim.

Ousia couldn't be reached for comment.

When Laura Franzese started with compounded tirzepatide at a local medical spa, she lost 20 pounds in 16 weeks. "It's giving me something that my body clearly needed," she says. But it was expensive. She discovered she could get a lower price from Zappy Health.

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Laura Franzese

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For many people who've turned to online telehealth companies to find compounded obesity drugs, they say they would prefer to take the brand-name drugs, but it isn't an option for them. They say Novo Nordisk's Wegovy and Eli Lilly's Zepbound aren't covered by their insurance. And paying the full sticker price — more than $1,000 a month — is too expensive.

Compounding pharmacies fill a gap for patients like this. They've been a part of the health care landscape for decades, preparing custom medicines for people who need them, but booming demand for weight-loss drugs — as well as resulting brand-name shortages — has brought them into new prominence.

Even some people who have health insurance coverage for obesity drugs say they turn to telehealth and compounding because they couldn't reliably find the brand-name drugs in local pharmacies.

But the situation with Ousia shows the pitfalls of navigating the world of online compounded obesity drugs, which includes legitimate businesses as well as some unlicensed or unregistered ones. It can be difficult for consumers to tell the difference or trust the quality of the obesity drugs they're buying.

Looking for a deal, finding confusion

For Zappy customers, the problems came as a surprise.

Eric Bishop, an IT professional in Salt Lake City, was looking for a way to buy more tirzepatide at once, fearing that the official end to the Zepbound shortage would mean the end of the compounded version. He had been filling his prescription at a local brick-and-mortar compounding pharmacy but turned to Zappy to buy a stockpile.

He didn't know which pharmacy would be fulfilling the order through Zappy until after he paid. "They didn't give me a choice," he says.

Bishop had just gotten his nine-month supply of tirzepatide, worth $2,700, from Zappy when users on the Zappy app blew the whistle on Ousia.

"That's when I started seeing things in the chat," he says of the app's patient forum feature. "So I bounced over to Reddit."

According to a complaint filed by the Florida Department of Health on Dec. 5, Ousia applied for a sterile compounding license in March 2024, but it was never granted. When state regulators inspected the facility later that year in August, they discovered that it was compounding medicines anyway. In addition, inspectors noted that Ousia was improperly storing drugs that needed to be refrigerated and not keeping proper records for drugs it dispensed.

The Florida Department of Health did not respond to requests for comment on this story. In an email to NPR, Zappy's founder, Choueiri, said the department failed to disclose Ousia's problem "in a timely manner."

Bishop couldn't believe what he was reading.

"I'm all of a sudden, you know, about ready to start taking my medication and I'm like, I now no longer have any confidence in what I have," Bishop says. "And I might either want my money back or I want a replacement for what I have."

Eric Bishop helps run a Facebook group for people who got Ousia vials from Zappy Health and are trying to get their money back. Since Ousia gave up its regular pharmacy license on Jan. 31, he says, some people have been more successful.

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Courtesy Eric Bishop

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Another Zappy patient, Nicole Drong, in Minneapolis, says she was surprised when vials marked "Ousia" arrived at her home. "I did not know the name of the pharmacy until I got a package. And I was like, 'Well, that's weird. I thought it was going to say 'Zappy' on it.'"

Then in December, she noticed the Zappy app was sending her a lot more notifications than usual from the patient forum. Word was out that Ousia didn't have a sterile compounding license.

"I kind of feel stupid, I guess," Drong says. She says she was " just blindly putting trust in this pharmacy. … How often do you ever have to double-check your medication? Like, if I go get my antidepressants from Walgreens, do I have to double-check to make sure there's not anything extra in my bottle of pills?"

Choueiri, Zappy's founder, says patients have the opportunity to cancel once they learn which pharmacy is fulfilling their order, and it has responded to patient feedback to be more transparent with customers up front.

Confusion and no refunds

The bureaucratic details of licensing can be opaque to consumers. But these licenses matter, says Scott Brunner, who leads the trade group of compounding pharmacists, the Alliance for Pharmacy Compounding. Ousia pharmacy wasn't a member, he says.

He called not having a sterile compounding license where one is required "egregious."

"I would not take a drug that has been dispensed to that patient from a pharmacy that has been found to be in violation of its state license law," he says.

Choueiri did a TikTok live on Jan. 15, where he said Zappy was "made aware of the complaint" and wanted to let the process play out. He added that his family members were taking the Ousia medications too and that he was also fielding questions from them.

"It's not counterfeit?" he said, reading questions as they came in. "Yeah, no. No, it's not counterfeit. Um no, no. The short answer is no, but I'm not going to go down the legal litigation here."

At first, Zappy told people they could fill out a Google form to get a refund or replacement vials, but customers tell NPR that nothing has come of it yet. For a time, Zappy also told customers to ask Ousia for a refund instead.

On Jan. 31, 2025, Ousia voluntarily relinquished its regular pharmacy license, Florida records show. Now, the pharmacy's phone number goes to voicemail and its website is down.

Asked what Zappy is now advising its patients to do with their Ousia vials, Choueiri wrote to NPR: "As always, Zappy is a platform that connects patients to affordable care but does not replace the role of medical providers or pharmacists. Decisions about medication use should always be made in consultation with a licensed healthcare professional, and defer these conversations to the providers of care."

Zappy Health ads on Facebook and Instagram promote its weight-loss program, which involves connecting patients to online providers and sending them low-cost obesity drugs made by compounding pharmacies.

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Zappy/Images screenshot and compiled by NPR

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Choueiri is a medical doctor. On its website, Zappy touts that its weight-loss plans "are personalized by doctors."

According to Zappy's terms of service, the doctor-patient relationship isn't between Zappy and its users. It's between the providers who do virtual appointments and prescribing on Zappy and the Zappy customers. And the company "disclaims any liability for the medical or pharmaceutical services provided through its platform."

Spotting red flags

While the Ousia situation is unfortunate for the patients involved, it's an example of the regulatory system working the way it's supposed to, says Brunner.

The National Association of Boards of Pharmacy says it's hard to know how many online retailers are offering compounded obesity drugs that are made without the proper license or registration. State pharmacy boards oversee most compounding pharmacies around the U.S., but if a pharmacy isn't registered or licensed in a state where it's shipping products, it can be hard to track.

Betty Jones, compliance senior manager of the accreditation and inspection programs at NABP, says consumers can protect themselves by looking out for red flags. For instance, you should always know which pharmacy is filling your prescription, and they're required to provide counseling.

"If they're not providing you that offer of patient counseling or you're calling into that pharmacy and they don't allow you to, you know, be progressed to a pharmacist where you can ask questions, that would be something that I would call a red flag."

She says prices that are too low and pharmacies that don't ask for a prescription should also trigger alarm bells.

Potential customers should also be able to verify that a pharmacy is licensed, since these are public records available online in most states. And to dispense to you, that means the pharmacy needs to be licensed in your state, too — not just the one where it's located.

Bishop, the Zappy customer in Salt Lake City, says he helped organize a Facebook group for people to help them figure out how to get their money back. Customers say they haven't been able to get refunds.

Choueiri says Zappy's low prices mean it doesn't have much money left over after paying pharmacies and providers, and "Zappy does not control the funds necessary to issue refunds."

The Facebook group has grown to more than 600 people. Its members have even helped report new information to the Florida Department of Health, Bishop says. "We're just a community just kind of helping each other out."

Many of the group members' banks initially declined to reverse their credit card transactions with Zappy. That has started to change since Ousia relinquished its license, Bishop says. "Actually, some banks are even opening disputes that they closed previously."

Zappy is still advertising to customers, but Bishop says he isn't buying from the company again. He's back on compounded tirzepatide from his local pharmacy.
Copyright 2025 NPR

L.A. County health officials Wednesday confirmed the county's seventh measles case this year — a traveler who passed through Hollywood Burbank Airport on the morning of June 17.

They're warning people who may have come in contact with the person of possible exposure to the highly contagious virus.

What you should know: Public health officials say the infected traveler arrived on Southwest Airlines Flight 4245 Gate A4 on June 17 at the Hollywood Burbank Airport. Anyone who was at that gate between 8:45 to 9:45 a.m. may have been exposed.

Officials also noted that people who were at the Thrifty Rental Car Service on June 17 from 9:20 to 10:20 a.m. and on June 18 from 10:25 to 11:25 a.m. may have been exposed. That's located at 2627 N. Hollywood Way in Burbank.

What if I was on the flight? Public health officials say passengers sitting next to the traveler will be notified by local health departments and should monitor for symptoms. Keep in mind those symptoms could appear up to three weeks after you were exposed.

Symptoms to look out for: Common symptoms include runny nose, fever cough, or a rash. It's also important if you develop these symptoms, don't just walk into a health care center without calling ahead first.

For people exposed on June 17, the last day to monitor for symptoms is July 8. For those exposed on June 18, the last day to monitor for symptoms is July 19.

How can I protect myself?: It's important to check if you are vaccinated against the measles. As health officials noted in the news release reporting the latest case: "The most effective way to protect yourself and your family is with the measles-mumps-rubella (MMR) vaccine."

The Los Angeles Unified Board voted unanimously to appoint Andres Chait, a longtime district administrator, as superintendent days after his predecessor resigned.

 “This board's decision reflects the confidence in Mr. Chait's leadership, his decades of service to Los Angeles Unified, and his demonstrated ability to guide the district during this period of transition,” said board President Scott Schmerelson.

The board met privately to discuss the district’s top job three days after Alberto Carvalho resigned. Carvalho wrote in a letter that he was leaving “because I believe our schools must remain focused on students and learning without distraction.”

The board placed Carvalho on paid administrative leave following FBI searches of his home and district office in February and appointed Chait acting superintendent. Carvalho has not been charged with a crime and has maintained his innocence.

Who is Andres Chait?

Chait rose through the ranks from teacher to administrator at LAUSD over nearly three decades. The responsibilities of his most recent role, chief of school operations, included overseeing school safety, athletics and the district’s office of emergency management.

Chait thanked the board, the community and his family after the announcement Wednesday and reflected on his first day as a kindergarten teacher 30 years ago. “ I was probably more nervous than the kids were, but I knew then that this was a place where I could make a positive difference in the lives of students and families,” Chait said. “I've always known that there is no greater accelerator of change and opportunity than the schoolhouse, and that is still true today.”

Under Chait's interim leadership, the district successfully negotiated new contracts with its largest labor unions — avoiding a massive strike by teachers, principals and staff — and passed a significant reduction-in-force plan and fiscal stabilization plan.

Chait is the first district staff member to be selected as full-time superintendent since Michelle King in 2016.

What is the superintendent responsible for?

LAUSD is the country’s second-largest school district, employs 83,000 people and enrolls more than 400,000 students across more than 1,000 schools. Despite recent gains in student test scores, the majority of students are not proficient in reading and math skills for their grade level. The district also faces looming financial challenges from declining enrollment — which is tied to state funding — and federal investigations into programs designed to help underserved students succeed.

A former state parks superintendent who oversaw Orange County beaches was charged Wednesday with secretly filming naked male lifeguards and other workers inside the locker room at Bolsa Chica State Beach. The former superintendent, Kevin Pearsall, is also accused of sending some of the images to two other men.

What charges does he face?

Pearsall, 59, of Long Beach, faces five felony counts of eavesdropping, 23 misdemeanor counts of secretly filming another and three misdemeanor counts of unlawful dissemination of private recordings. If convicted on all charges, he faces a maximum sentence of 18 years and eight months behind bars.

Scott C. Thomas, a defense attorney representing Pearsall, declined to comment in the wake of the charges being announced by the Orange County District Attorney's office. Pearsall is scheduled to be arraigned Aug. 6 and could enter a plea at that time.

Details of the investigation

In July 2025, a California State Parks officer discovered a USB stick with a hidden camera in the men's locker room at Bolsa Chica State Beach Lifeguard Headquarters. The officer contacted California Highway Patrol, which launched an investigation.

The investigation found Pearsall allegedly had recorded numerous secret videos in the locker room over an 11-month period beginning in August 2024, according to the DA's announcement. Pearsall retired from his job shortly after CHP served search warrants in the case. He turned himself in earlier this week.

State Parks reaction

Marty Greenstein, a spokesperson for California State Parks, told LAist the agency “takes these charges very seriously and has fully cooperated with law enforcement through every step of the investigation.” Greenstein declined to comment further, citing the active criminal investigation.

Making your way through South Coast Plaza — the sleek consumer cathedral in Costa Mesa, a sort of mall of malls — past Uniqlo window displays and Pop Mart blind boxes, there's a good chance you'll eventually land at Tiny's, the new casual restaurant from Chef Sang Yoon.

The burger shack-meets-Asian convenience store is the latest from Yoon, best known for Father's Office, the Los Angeles institution where he's spent two decades running one of the city's most uncompromising kitchens — no substitutions, no exceptions.

Tiny’s marks Yoon’s first venture into Orange County — a deliberately accessible entry point for a chef who has spent decades at the top of L.A.'s gastropub scene.

The concept

Tiny's is the place Yoon wanted to exist as a kid.

Inside, you're greeted by shelves stocked in the style of a konbini, the beloved Japanese convenience corner store, with cilantro-flavored Doritos from China, elote-flavored Turtle Chips from Korea and, for the purists, the requisite Japanese Kit-Kats and Pocky too.

At the counter, a friendly employee greets you beneath a letterboard menu anchored by Yoon’s signature 30-day dry-aged beef burger. Starting at $9 for a plain burger, up to $12 for the Tokyo Dog dressed in bonito flakes and furikake, there's also salt and vinegar tots, french fries, miso mac 'n' cheese and soft serve that runs from Straus vanilla to Pineapple Dole Whip, available as a swirl, cup, cone or float. That's the menu, streamlined by design.

Chef Sang Yoon's cheeseburger and Tokyo Dog at Tiny's, his new fast-casual concept inside South Coast Plaza in Costa Mesa

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Grid Vongpiansuksa

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Courtesy Tiny's Burger

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For Yoon, the son of Korean immigrants who grew up between two worlds, the idea of opening a burger stand with a konbini was about tapping into the happy place of his memories: after school with friends, trying out the latest snacks to hit the market to Friday nights with the entire family celebrating after a long week of grinding it out with burgers and chili fries.

"The corner burger stand is where life happened. ... What if those two of my favorite things were under one roof?" said Yoon.

Tiny the dog

Inspiration for the name Tiny’s came from a somewhat unlikely place: Yoon’s beloved Cavalier King Charles Spaniel. Yoon describes her as appearing extremely cute and friendly, but in reality, she was actually sassy and judgmental. Illustrations bearing Tiny’s "don't mess with me" vibe can be seen throughout the restaurant.

“People would rather hear this from a sassy, cute dog than me. So I decided that we should channel Tiny. And let this belong to her," Yoon said.

The food

The cheeseburger itself is simple: a thin patty topped with melted American cheese and Tiny's signature sauce — a blend of Kewpie mayo, caramelized gochujang, ssamjang and tomato — finished with pickle chips and a bed of lettuce.

What sets it apart is what you can’t see, the same 30-day dry-aged chuck Yoon has used at Father’s Office for over 25 years.

“I still don’t think there’s any product superior to that for the purpose of a hamburger,” he said.

The spread at Tiny's includes the cheeseburger, miso mac 'n' cheese, chicken nuggets, tater tots, fries and a jammy egg sando — a konbini staple in Japan.

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Grid Vongpiansuksa

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Courtesy Tiny's Burger

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The nuggets ($10) had a crispy, craggy exterior finished with visible seasoning crystals, a small but deliberate touch, and came with a fresh herbaceous dipping sauce. As for the chili fries ($8), the chili itself was sufficient as an L.A.-style chili (think Tommy's), but since Lao Gan Ma chili crisp was promised in the name, I was expecting that distinctive, crunchy, fermented kick — but left wanting more of it. It felt more like a whisper than a statement.

The miso mac 'n' cheese ($6) was a highlight of the meal, especially for someone who doesn't usually order mac 'n' cheese. Fresh ridged elbow pasta with a proper chew in each bite, and salty morsels of miso folded into a tight cheese sauce had me picking up forkfuls until it was mostly gone. Consider my position reconsidered.

Encouraged, I went back and ordered a Dole Whip ($7). The electric, tangy flavor, paired with the soft creaminess, served as a suitable exclamation point for my lunch that day.

With Tiny's, Yoon has built his most personal restaurant — accessible in price, but uncompromising in intention.

Could mall food now be on a new trajectory? Perhaps we've finally transcended corn dogs at Hot Dog on a Stick and cinnamon rolls at Cinnabon.

After dining at Tiny’s, all signs point to yes.